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Answers to Commonly Asked Questions about Dental Plans
NOTE: These summaries are for information only. This is not a contract. For a detailed and precise statement of benefits and exclusions, please refer to your Evidence of Coverage/Certificate of Insurance.
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| Are all members required to choose a Primary Care Dentist? |
Yes |
No |
No |
Yes |
Yes |
Yes |
| Should a member see his or her Primary Care Dentist before going to a specialist? |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
| How many times can I change my Primary Care Dentist in one benefit year? |
12 |
Unlimited |
Unlimited |
12 |
12 |
12 |
| How long does it usually take to be seen for a dental checkup after requesting an appointment? |
3 weeks |
2-4 weeks |
2-4 weeks |
2-3 weeks |
2-4 weeks |
1-2 weeks |
| 236,812 |
14.8 million |
192,472 |
769,666 |
43,561 |
538,000 |
| No |
No |
No |
No |
Yes (includes medical malpractice) |
Yes (includes medical malpractice) |
* This number represents the insurance plan's membership as of January 1, 2007.
** To get additional information about each insurance plan's dispute resolution provisions, call the plan or refer to the plan’s Disclosure Form and Evidence of Coverage booklet, which is available upon request from each plan.
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